Organization
CITY OF PRAIRIE CITY
Active
Parent organization
CITY OF PRAIRIE CITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF PRAIRIE CITY
Authorized official
MR. CARL J VAN DER KAMP (PRESIDENT)
(515) 994-2649
Entity
Organization
Contact information
Practice address
203 E. JEFFERSON ST., PRAIRIE CITY, IA 50228-0607
(515) 994-2649
(515) 994-2376
Mailing address
PO BOX 607, 203 E. JEFFERSON ST., PRAIRIE CITY, IA 50228-0607
(515) 994-2649
(515) 994-2376
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2500500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022129
—
IA
Enumeration date
01/27/2006
Last updated
11/18/2011
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